<!DOCTYPE html>
<html>
<head>
<meta charset="UTF-8">
<title>咨询投诉新增</title>
<link rel="stylesheet" href="../../../bootstrap/css/bootstrap.min.css">
<!-- bootstrap table css-->
<link rel="stylesheet" href="../../../bootstrapTable/dist/bootstrap-table.min.css">
	
 
<script src="../../../js/jquery.min.js"></script>	   
<script type="text/javascript" src="../../../bootstrap/js/bootstrap.min.js"></script>

<!-- select2 -->
<script type="text/javascript" src="../../../js/select2/js/select2.min.js"></script>
<link rel="stylesheet" type="text/css" href="../../../js/select2/css/select2.min.css" />

<!-- jquery-confirm -->
<link href="../../../css/jquery-confirm.min.css" rel="stylesheet">
<script type="text/javascript" src="../../../js/jquery-confirm.min.js" ></script>


<!-- bootstrap table js -->
<script src="../../../bootstrapTable/dist/bootstrap-table.js"></script>
<script src="../../../bootstrapTable/dist/locale/bootstrap-table-zh-CN.js"></script>

<!-- cityPicker js -->
<link rel="stylesheet" type="text/css" href="../../../ctiypicker/css/cityPicker.css">
<script type="text/javascript" src="../../../ctiypicker/js/cityPicker.js"></script>

<link rel="stylesheet" type="text/css" href="../../../js/orgpicker/orgpicker.css">
<script type="text/javascript" src="../../../js/orgpicker/orgpicker.js"></script>
	
<script type="text/javascript" src="../../../js/share.js"></script>
<script type="text/javascript" src="../../../js/bindcontrol.js"></script>


<script type="text/javascript" src="add.js"></script>
</head>
<body>

	<form class="form-horizontal" id="consultingForm" >
 		<table id="modalTab" class="table table-bordered"  style="vertical-align: middle !important;text-align: center;">
			<tr>
				<td>
					业务类型<span style="color:red;">*</span>：
				</td>
				<td>
					<select id="businessType" class="form-control" name="businessType" placeholder="请选择业务类型"></select>
				</td>
				<td>
					姓名<span style="color:red;">*</span>：
				</td>
				<td>
					<input id="userName" type="text" class="form-control" name="userName" placeholder="请输入您的姓名" />
				</td>
			</tr>
			<tr>
				<td>
					手机<span style="color:red;">*</span>：
				</td>
				<td>
					<input id="mobile" type="text" class="form-control" name="mobile" placeholder="请输入您的手机号码" />
				</td>
				<td>
					邮箱<span style="color:red;">*</span>：
				</td>
				<td>
					<input id="email" type="text" class="form-control" name="email" placeholder="请输入您的邮箱" />
					
					<script type="text/javascript" src="../../../js/data-validate.js"></script>
				</td>
			</tr>
			<tr>
				<td>
					标题<span style="color:red;">*</span>：
				</td>
				<td>
					<input id="complainTitle" type="text" class="form-control" name="complainTitle" placeholder="请输入留言标题" />
				</td>
				<td>
					类型<span style="color:red;">*</span>：
				</td>
				<td>
					<div id="sxRadio1">
						<label class="radio-inline"> 
							<input type="radio" name="complainType" id="inlineRadio1" value="问题咨询" checked="checked"/>问题咨询
						</label> 
						<label class="radio-inline"> 
							<input type="radio" name="complainType" id="inlineRadio2" value="业务投诉"/>业务投诉
						</label>
					</div>
				</td>
			</tr>
			<tr>
				<td>
					<span id="orgLabel">咨询机构</span><span style="color:red;">*</span>：
				</td>
				<td>
					<input id="orgSelect" name="orgName" class="form-control" placeholder="请选择机构" />
				</td>
				<td>
					是否公开<span style="color:red;">*</span>：
				</td>
				<td>
					<div id="sxRadio2">
						<label class="radio-inline"> 
							<input type="radio" name="publicStatus" id="publicStatus1" value="1" />是
						</label> 
						<label class="radio-inline"> 
							<input type="radio" name="publicStatus" id="publicStatus2" value="0" checked="checked"/>否
						</label>
					</div>
				</td>
			</tr>
			<tr>
				<td>
					内容<span style="color:red;">*</span>：
				</td>
				<td colspan="3">
					<textarea id="leaveMessage" class="form-control" rows="5" name="leaveMessage" placeholder="请输入留言内容"></textarea>
				</td>
			</tr>
		</table>			
	</form>
		
</body>
</html>